INSTRUCTIONS FOR REBONDING DETACHED BRACKETS FOR JAW WIRING PATIENTS
Detached brackets can occur because of unusual biting forces and because you
go off your liquid diet and start snacking on crispy, crunchy and crusty foods during
the 2-4 days you are unwired to allow for exercising your jaws. For the intrepid patient
who detaches a bracket and has a mate who is handy, Dr. Ted has provided a kit of
materials for the do-it-yourselfer to rebond the detached bracket. Lacking
the courage to try it oneself you can take the material provided to a dentist who can
do it for you. Those of you who come to the office with supportive others will be shown
how the brackets are bonded on at the initial jaw wiring appointment.
1. Remove all tags of residual bonding adhesive with the help of the hand instrument.
2. Dry the tooth you are going to rebond (hair dryer or canned air best). Use cotton rolls provided to control saliva.
3. Paint the surface of the tooth with the red "acid etch" (37% phosphoric acid) and allow the acid etch to remain on the tooth for 70 seconds. Be careful with acid. It is best to prevent the acid from touching inside of cheeks, lips, and gums.
4. Rinse your mouth 30 SECONDS to remove the acid etch. Rinse until sour taste is gone.
5. Dry the tooth (hair dryer, etc.). You will see that the surface is "frosty." It is now etched. Etching cleans and prepares the tooth surface. It does not harm tooth structure. If tooth is not frosty, etch again for 30 seconds. From this point on you must be careful not to allow the surface of the tooth to be contaminated with saliva. A bracket will not bond to a wet surface. The cotton rolls will be very helpful toward that goal.
6. Using the brushes supplied, paint the surface of the tooth with catalyst/primer. Do not apply in excess.
7. Paint the "screen" surface of the bracket with catalyst/primer.
8. Squeeze out of the syringe enough adhesive to cover about 3/4 of the surface of the bracket. If you make an error it is better to err on the side of excessive material. Be absolutely certain you do not allow adhesive to clog up the bracket slot where the wire is going to pass through. An optional approach is to squeeze the adhesive on to the tooth.
9.** Practice placing the bracket at least six times in the position you plan/intend it to go.
10. From the time you place the bracket with adhesive on the tooth you have about 13 seconds to adjust its final position. (That is not a lot of time.)
11. Make certain that if you are putting a bracket on an upper tooth that the "slot" of the bracket “points up” (toward the gums) and if you are putting the bracket on a lower tooth that the slot of the bracket points down. When you place the bracket on to the tooth hold it in position while pressing it firmly but gently on to the tooth. You can let go after about 30 seconds. Don't rinse for three more minutes. Bite gently on a cotton roll during the three minutes
12. After 3 minutes rinse the residual adhesive/catalyst out of your mouth.
13.Allow the adhesive to cure/set for another 15 minutes.
14. You can now rewire. Use the .016 wire.
KIT OF MATERIALS SUPPLIED BY DR. TED
Listed in approximate order you will need them for rebonding.
3 brackets (If additional brackets are needed they will be supplied upon request.)
10 brushes to apply etch to the tooth, and catalyst to the tooth and bracket
NEVER CONTAMINATE A BRUSH YOU USED TO ETCH WITH CATALYST. ALWAYS KEEP BRUSHES USED FOR CATALYST AND ETCH SEPARATE FROM ONE ANOTHER. PAY VERY CAREFUL ATTENTION TO AVOID CONTAMINATION OR THE BRACKET WILL NOT BOND.
A small bottle of red colored "acid etch"
1 package of cotton rolls
1 lip retractor
*1 hand instrument to remove left over tags of bonding adhesive
*1 bottle of catalyst (Bond-Fast Primer)
*1 syringe of adhesive
6 Pieces of dead-soft jaw wiring wire .014
6 Pieces of dead-soft jaw wiring wire .016
*1 wire twister tool
*1 wire cutter with red handles
1 can of air to dry the teeth
*1 tweezers to hold and position the bracket to be rebonded on the tooth
1 Jaw wiring simulate to practice wiring
April 4, 2001
refundable surcharge fee of $75 is charged for the hand instrument, catalyst/primer
adhesive, tweezers and wire cutter. This fee will be refunded upon return of these six items.
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